Prostatitis today is one of the most common diseases of the male genital organs: in different age groups, the disease is detected in 20-40% of men. In recent years, doctors have noticed a worsening condition, as the incidence of prostatitis has increased significantly.
Prostatitis is the common name for a group of inflammatory diseases of the prostate gland (prostate). The chronic form can occur unnoticed for years, without severe symptoms, but at the same time negatively impact a man’s quality of life. Often, prostatitis is the cause of sexological disorders and male infertility.
The disease can develop at almost any age, so it is important to listen to the body’s signals and visit a urologist regularly for preventative purposes. Timely detection of the disease is a guarantee of a successful and speedy cure.
Symptoms of prostatitis:
- Pain in the genital area.
- Urinary disorders (frequent and / or painful, difficult urination, slow urine flow, etc. ).
- Sexual dysfunction (accelerated ejaculation, tenderness of orgasm, sexual desire disorders and, consequently, poor erections).
- Infertility in some cases.
In addition, a group of non -specific manifestations of the disease are distinguished: fatigue, weakness, poor appetite, decreased performance.
A little about anatomy: the prostate
The prostate gland (or prostate) is located below the floor of the bladder between the genital joint and the rectum. The prostate portion of the urethra passes through the prostate tissue. In adult men, the mass of the prostate gland is 15-28 grams, in children, the size of the prostate gland is very small.
Prostate tissue consists of the prostate gland, muscle fibers and elastic fibers. The strong contraction of the muscle bundles that surround the glandular lobes during ejaculation leads to the production of secretions from them.
The prostate is closely related to the work of the penis. The prostate gland produces secretions continuously, but is excreted into the urethra in healthy men only during ejaculation and partly during urination. The secretion of the prostate gland increases the mass of semen and neutralizes its slightly acidic environment, as a result of which the spermatozoa in it become mobile. The secretion of the prostate in ejaculation is about 40% of the volume. In addition to the production of secretions, metabolic assimilation and transformation of male sex hormones, the active substance - prostaglandins, is performed in the prostate gland, which is essential for a man's life and sexual activity.
Due to the enormous influence of the prostate on the function of the reproductive system and the entire male body as a whole, it is often referred to as the second heart of a man.
Causes of the development of prostatitis
There are two groups of causes of the development of this disease: infection and congestion.Infectious prostatitiscan be caused by various bacteria, viruses or fungi. The most common causative agents are non -specific microorganisms: staphylococci, streptococci, E. coli, Proteus, quite rarely - specific microorganisms: gonococci, Trichomonas, etc. Recently, the number of chlamydia, mycoplasma, etc. has increased. prostatitis.
The reasoncongestive prostatitis (congestive)stagnation of secretions in the prostate gland and / or blood in the veins of this organ, which most often occurs in the following cases:
- sexual dysfunction;
- artificial compliance of ejaculation during shortened sexual intercourse;
- less frequent sexual activity and prolonged abstinence;
- damaged ejaculation due to stress or excessive work;
- prolonged stay in an inactive sitting position (e. g. , with a driver, official worker, etc. );
- against the background of a number of diseases (constipation, hemorrhoids), hypothermia;
- with alcohol abuse.
Stagnant prostatitis quickly turns into bacteria due to infection. It is known that in many cases prostatitis precedes or accompaniesinflammation of the urethra(urethritis).
One of the important factors that contribute to the development of prostatitis is the systematic intake of alcoholic beverages. Alcohol causes fatty degeneration in testicular and liver tissues, which through a complex system of hormone metabolism contributes to decreased levels of male sex hormones. This creates a prerequisite for the development of inflammatory processes in the prostate gland. Important in this sense is "beer alcoholism", where the irritating effects are most pronounced. Beer directly provokes the entire microflora of the genitourinary tract (from the kidneys to the urethra) to become aggressive.
Arrival: chronic prostatitis
Chronic prostatitisoften develops as a slow inflammatory process. For a long time, sometimes counted for years, prostatitis did not manifest itself in anything (latent stage). But at some point, stressful conditions for the body lead to the emergence of obvious clinical manifestations.
Patients often go to a urologist for the first time with a complaint aboutsick sick, which is localized in the perineum, sacrum, external genitalia. Usually, with pain localized only in the lumbosacral region, the patient himself makes the wrong diagnosis ("sciatica" or "osteochondrosis") and is treated unsuccessfully at home. And only health checks and laboratory tests can reveal the cause of the disease.
Inflammation of the prostate can cause enlargement, swelling of the tissues of this organ and compression of the prostate portion of the urethra. This gives rise to various urinary disorders. Disruption of the flow of urine through the urethra causes chronic urinary retention in the bladder, which in turn contributes to the formation of stones, inflammation of the bladder, and later - inflammation of the kidneys with a decrease in their function.
Prostatitis as a cause of sexual dysfunction and male infertility
Many nerve endings in the prostate gland, during a man’s sexual stimulation, send impulses to the genital center located in the spinal cord and brain, which are responsible for erection and ejaculation. In chronic prostatitis, natural processes are disrupted. First, premature ejaculation develops with a normal erection. Then the sensation of lust (orgasm) during ejaculation weakens and diminishes. With a decrease in the production of sex hormones, sexual desire becomes weaker.
The psychology of men is such that minor violations in the sexual sphere cause fear of sexual misconduct, uncertainty of their abilities, and therefore dysfunction of the nervous system. This leads to sexual neurosis and in turn impairs sexual function.
Reproductive disorders (infertility) mean inability to conceive. In chronic prostatitis, a profound metabolic disorder develops in the prostate gland, resulting in insufficient production of prostate secretions (in quantity and quality), which is veryspend semensubstances necessary for normal life and sperm movement.
In addition, with prolonged inflammation, the patency of the pathway for spermatozoa is impaired. And even with normal sperm formation in the testicles, they are unable to penetrate into the vas deferens and further into the female genitalia.
Ejaculatory disordersin patients with chronic prostatitis, they often walk according to the type of premature ejaculation (sometimes immediately after the entry of the penis into the vagina and even during the period of early intercourse). Another less common complication is difficult ejaculation. This makes sex exhausting, does not bring pleasure and satisfaction to the partner.
Chronic inflammatory diseases are a potential threat to long -term sexual partners. With each contact without a protective device, part of the infection is thrown into the female genital tract. This is especially dangerous during fertilization or during pregnancy, as it threatens the course of an abnormal pregnancy, miscarriage, artificial termination of pregnancy for medical reasons.
Hence the conclusion: prostatitis can not be ignored, it is necessary to identify the disease in a timely manner and begin treatment.
Treatment of prostatitis
Modern medicine has accumulated a lot of experience in the treatment of chronic prostatitis. First of all, therapy is chosen to eliminate the inflammatory focus on the prostate gland. In many cases, this alone can lead to a significant improvement. There are also many modern medicines that make it possible to improve sexual disorders and reproductive disorders effectively.
Only by following the golden rule, born of decades of work by hundreds of scientists and doctors, is it possible to be completely cured:
- Treatment must be timely.Treatment results are better if the disease is detected at an early stage and complications have not yet occurred.
- Treatment can only be performed by a qualified physician.This ensures that a rational therapy plan is made and effective medications are selected.
- Treatment should be thorough.Satisfactory and lasting results can be achieved only with a complex of several well -proven methods. These methods can be determined and selected only by a professional urologist, taking into account the characteristics of the disease in each case.
- Treatment of inflammatory diseases of the male genital area should be done together with a sexual partner.This is due to the fact that most inflammatory diseases are transmitted mainly through sexual intercourse and if only one partner is cured, there is a possibility of re -infection.
- Treatment directly depends on the responsibility of the patient, how strictly he adheres to all prescriptions and recommendations of the doctor.Therapy, as a rule, is associated with many features, limitations and unpleasant sensations for the patient, which require a certain voluntary, psychological and physical effort on his part. While prescribing treatment, the doctor explains and warns about it in detail.
Prostatitis is a complex and multifaceted disease. But, like any disease, this disease can be easily overcome. You just have to pay attention to body signals, take care of yourself and do not neglect preventive visits to the doctor. A healthy and satisfying life in all its manifestations and fields is easy!